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Zorluk: OrtaTherapeutic Communication

A young adult client who underwent a temporary colostomy placement two days ago refuses to look at the stoma during pouch changes. The client turns away and states, "My body is ruined. I will never be attractive again." What is the most therapeutic statement for the practical nurse to make?

  1. You are feeling devastated about how this surgery has altered your appearance.Cevap
  2. B
    The stoma will shrink over the next few weeks and become much less noticeable.
  3. C
    You need to give yourself more time to adjust before making such harsh judgments.
  4. D
    Let us focus on the positive fact that the diseased portion of your bowel is gone.

Cevap

The most therapeutic statement is to reflect the client's feelings by stating that they are feeling devastated about how the surgery has altered their appearance.
The correct response utilizes reflection, a therapeutic communication technique where the nurse verbalizes the feelings implied by the client's statement. This technique demonstrates empathy, validates the client's grief over their altered body image, and leaves the door open for the client to express more of their fears.

Adım Adım Çözüm

1
Analyze the client's statement and behavior in the clinical context.
The client is actively avoiding looking at the stoma and expressing profound grief and loss regarding their physical attractiveness.
Understanding the core emotion (grief over altered body image) is necessary to select the appropriate therapeutic communication technique.
2
Evaluate the nurse's response options for therapeutic value.
Identify which option facilitates communication, validates feelings, and avoids communication blocks.
The role of the practical nurse is to provide psychosocial support without dismissing the client's valid emotional pain.
3
Select the option that best reflects the client's feelings.
The statement validating the client's feelings of devastation is the only option that directly addresses the psychosocial distress without minimizing it or offering false reassurance.
Reflection acts as a catalyst for the client to process their grief and continue expressing their fears.

Anahtar Kavram

Therapeutic Communication in Body Image Alteration
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Konular

Therapeutic Communication

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